BOOK A SESSION Contact Leonie Dippenaar If you wish to make a booking with Leonie, simply enter your contact details and request with a brief description of the session and she will confirm a date and time with you. Please note the info is vital for her to understand what would need to be done and hereby give you the best information possible when she contacts you. PERSONAL DETAILS Name & Surname First Last Contact Number Your Email Address BOOKING DETAILS * I would like to make a booking for: Anxiety BWRT Counseling and Bereavement Deep Relaxation Technique Life & Wellness Coaching Psychosexual Difficulties Stop Smoking TERMS & CONDITIONS In order to submit this request, you are required to read and accept the terms and conditions below. In the event that you would like to read it again, you can simply click on the Disclaimer link on the bottom of the website. * Disclaimer, Terms & Conditions By selecting here you agree to the Disclaimer, Terms & Conditions Payments are made by Electronic Fund Transfer (EFT) - Regret no card facilities. Terms and Conditions apply. All sessions are paid in advance. Unused Packages and Skype sessions are non-refundable and non-transferable. Cancellation or appointment changes must be made at least 24 hours in advance. In signing this form, you agree to pay for any missed appointments. If this 24-hour notice is not given and your appointment time cannot be filled. Sessions with Leonie can create powerful change. Most sessions last 60 min. You will feel deeply relaxed but in full control of your experience. The process is client-centered; meaning that you will be exploring your own inner world under Leonie’s direction. * Form Security Please complete the security box below and then submit your request.